New RN

Congrats on the job!

Don't fret over how things go right out of the gate. You are working med-surg in a hospital setting. They know you are a new nurse and they don't expect perfection from you. You will spend time orienting to the hospital, then to the unit. You will work with a preceptor from anywhere between 2-6wks...and sometimes they will go even longer in orientation...depending on your needs. They don't expect you to be super nurse and have all your skills down pat. If your preceptors are in their toes, then they will go out of their way to try and gain you experience...in everything. And even after all of that and your on your own, remember that in a hospital setting, you are never alone. During your orientation time take the time and effort to get to know the staff you will be working with, form relationships and build a sturdy network. Then, when you need help, ask for it! Learn where to access policies and procedures and know who you can ask for reliable information. If your not sure, double-check. If you can't seem to be able to keep up, ask for tips. If you have stuck a patient 3x's and you can't seem to get an IV in, talk to your charge nurse or call the resource nurse to get your line.

Are you part of a New Grad program? They tend to offer a lot of classes as part of orientation and can be helpful, but they aren't mandatory to success.

I have been out of nursing for over 11 years, I did a refresher course last winter/spring and was scared half out of my mind to do a clinical rotation this summer because it had been ages since I had performed any skills. Amazingly, it all came rushing back like a tidal wave. Like muscle memory. But when I was interviewing for work in August, I was very upfront with the directors. I've been out of nursing for a long time but I know where to find the information I need and I am never afraid to ask for help. I start work a week from Monday.

A little fear is healthy, it'll keep you on your toes. :)

Good luck!